Organization
ALLERGY AND ASTHMA CENTER OF CAPE COD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL ROBERT SKLAREW (OWNER/DOCTOR)
(508) 362-0099
Entity
Organization
Contact information
Practice address
244 WILLOW ST, YARMOUTH PORT, MA 02675-1757
(508) 362-0099
Mailing address
244 WILLOW ST, YARMOUTH PORT, MA 02675-1757
(508) 362-0099
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
79011
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3126935
—
MA
Enumeration date
07/17/2007
Last updated
07/17/2007
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